|
' PC Exhibit A
<br /> City of Orono .
<br /> Variance Application
<br /> Streef Address: Application# `:�+ - 2�
<br /> �Q� 2750 Kelley Parkway Date Received: �-Zo-Lm !/
<br /> Orono, MN 55356
<br /> Q 0 Staff:
<br /> Main: 952-249-4600 Fee: $700
<br /> � �+ fax: 952-249-4616 Renewal: $350
<br /> �'.�, Gti`� Mailing Address: After-the-fact: $1,400 Double Fee
<br /> '�� g,� P.O. Box 66 Escrow Fee: $600/$2,500
<br /> kESHD Crystal Bay, MN 55323-0066 �
<br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the
<br /> application. Incomplete applications will not be placed on Planning Commission Agendas.
<br /> PROPERTY INFORMATION: '
<br /> Site Address 'I�1'ld�.) �,� °7
<br /> Property Identification Number(PI : � - '� - - � oo iC�
<br /> Date Property Acquired (month/year): �a6ti1 ❑ Yes, I own the adjacent parcels.
<br /> Zoning District: R� — � f3
<br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: �o.so,,. w�,J. 7'0�� Sm���, W�sha.d a� i,,,���
<br /> Phone (home): Q s�.-q�,3- 1310 S Phone (work): y go-�3 i-b 3 9 J
<br /> Complete Address: a��, 6 �`'„�,, TT��,�(
<br /> City, State & ZIP a�ah, �� � .;s�� �
<br /> Email: �as�, ��,,s.�(��ho� . co.�-� Fax:
<br /> � c����.�0.,e.v�1\n�s hd,Me���
<br /> OWNER II�FORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: ✓f Qn A�A �ao�-�i .�rn,'��. h u�s bu,��c a nd� �ti.�'
<br /> Phone (home): � q Sa-. y d�_/3 (o F Phone (work): �,/�6- a � }- (0 3�?J
<br /> Complete Address: ���_ a;�,, P.��(
<br /> City, State & ZI P ;����,,�s r3� 1 _
<br /> Email: � �v�na-��>>���a sl,,�,,,.,��� Fax:
<br /> ���
<br /> �od-�/ @ v�n�o� e�;1�o�s hcr•z,co,�•1
<br /> DESCRIPTION OF REQ�ST:
<br /> Describe the request in detail (attach additional sheets if necessary):
<br /> U�-� �.UO�-� � .IY�
<br /> � , � .b t� G�
<br /> � -� C� �Ul. Yb
<br /> a.�- ' � S
<br /> Cf1u�41 ` d. W
<br /> G�Me� �� � ' ' uJ� o�.v� ��'�uk
<br /> _,�e, �3 p� �
<br /> , ,�r; ,`. � ,�.
<br /> . � � - - �2- SEP 20 2011
<br /> . • , ..�,r..�c nant►In � � �
<br />
|